• Title/Summary/Keyword: large-scale assessment

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Correlation Study between Stress Responses and Life Events as a Stressor (미국이민 한국인의 스트레스 반응 양상과 생활사건과의 상관 연구)

  • 이소우
    • Journal of Korean Academy of Nursing
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    • v.23 no.2
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    • pp.299-315
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    • 1993
  • Koreans are one of the fastest growing immigrant groups in America. Stress responses and stressors among this large cultural minority has been rarely been studied by nursing researchers. Adjusting to life in foreign country produces a great deal of stress. Differences in culture, language, expectations and social behavior can lead to misunderstandings between health care providers and clients. These misunderstandings are not well accounted for in health assessment. This study investigated the relationship between life events or / and daily activities as a stressor and the symptoms of stress among a sample of Korean immigrants in America. The symptoms of stress scale (SOS) was used to identify stress responses and open-ended questions were used to identify life events and daily activities considered by the respondents to be stressful. A simple random sample of 283 subjects was selected from the Directory of the Korean Society of Chicago, New York, Los Angeles, Philadelphia and Seattle. Demographically, the subjects ranged in age from 20 to 69 years, and the percentage of women and men was approximately 50% each. Almost ninety percent of the subjects were highly educated, 17% owners of business, 19% white collar professionals, 14% employed in sales or as skilled /unskilled labor, 27% as housewives and students and 3% had no occupation. The total group SOS mean was 0.8042 ; the SOS men for man was 0.7371, and for women was 0.8713. The stress response of this subject group was high, -the stress response of women higher than that for men. In an earlier study(June, 1992) with another sample, the total mean SOS score was similar to this one. The main stressful life events or / and daily activities were, in order, economic problems (N=97), interpersonal problems (N=68), children care problems (N=258), health problems (N=49), communication problems (N=42), family problems (N=38), worry about future career (N=36), and religious problems (N=25). There was a significant difference in the SOS means between the group that expressed life events or / and daily activities to be stressful and the group that did not. Interpersonal relationships and economic and family problems were stressors for those who complained about peripheral manifestations. cardiopulmonary symptoms, central-neurological symptoms, gastrointestinal symptoms, muscle ten-sion, habitual patterns, depression, anxiety, emotional irritability and cognitive disorganization. In summary, interpersonal relationships and economic and family problems influenced stress response manifestations. Income, the number of people in the family, the year of immigration. the level of education, and marital status were related to physiological and psychosocial stress responses.

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Large Scale SWAT Watershed Modeling Considering Multi-purpose Dams and Multi-function Weirs Operation - For Namhan River Basin - (다목적 댐 및 다기능 보 운영을 고려한 대유역 SWAT 모형 구축기법 연구 - 남한강 유역을 대상으로 -)

  • Ahn, So Ra;Lee, Ji Wan;Jang, Sun Sook;Kim, Seong Joon
    • Journal of The Korean Society of Agricultural Engineers
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    • v.58 no.4
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    • pp.21-35
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    • 2016
  • This study is to evaluate the applicability of SWAT (Soil and Water Assessment Tool) model for multi-purpose dams and multi-function weirs operation in Namhan river basin ($12,577km^2$) of South Korea. The SWAT was calibrated (2005 ~ 2009) and validated (2010 ~ 2014) considering of 4 multi-purpose dams and 3 multi-function weirs using daily observed dam inflow and storage, evapotranspiration, soil moisture, and groundwater level data. Firstly, the dam inflow was calibrated by the five steps; (step 1) the physical rate between total runoff and evapotranspiration was controlled by ESCO, (step 2) the peak runoff was calibrated by CN, OV_N, and CH_N, (step 3) the baseflow was calibrated by GW_DELAY, (step 4) the recession curve of baseflow was calibrated by ALPHA_BF, (step 5) the flux between lateral flow and return flow was controlled by SOL_AWC and SOL_K, and (step 6) the flux between reevaporation and return flow was controlled by REVAPMN and GW_REVAP. Secondly, for the storage water level calibration, the SWAT emergency and principle spillway were applied for water level from design flood level to restricted water level for dam and from maximum to management water level for weir respectively. Finally, the parameters for evapotranspiration (ESCO), soil water (SOL_AWC) and groundwater level fluctuation (GWQMN, ALPHA_BF) were repeatedly adjusted by trial error method. For the dam inflow, the determination coefficient $R^2$ was above 0.80. The average Nash-Sutcliffe efficiency (NSE) was from 0.59 to 0.88 and the RMSE was from 3.3 mm/day to 8.6 mm/day respectively. For the water balance performance, the PBIAS was between 9.4 and 21.4 %. For the dam storage volume, the $R^2$ was above 0.63 and the PBIAS was between 6.3 and 13.5 % respectively. The average $R^2$ for evapotranspiration and soil moisture at CM (Cheongmicheon) site was 0.72 and 0.78, and the average $R^2$ for groundwater level was 0.59 and 0.60 at 2 YP (Yangpyeong) sites.

Palliative Care for Patients with Gynecologic Cancer in Japan: A Japan Society of Gynecologic Palliative Medicine (JSGPM) Survey

  • Futagami, Masayuki;Yokoyama, Yoshihito;Sato, Tetsumi;Hirota, Kazuyoshi;Shimada, Muneaki;Miyagi, Etsuko;Suzuki, Nao;Fujimura, Masaki
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.10
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    • pp.4637-4642
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    • 2016
  • Purpose: To evaluate palliative care for patients with gynecologic cancer in Japan. Materials and Method: A questionnaire asking facility characteristics, systems to coordinate palliative care, current status of end-of-life care, provision of symptom relief, palliative radiation therapy and chemotherapy, and cases of death from gynecological cancer, was mailed to facilities treating gynecologic cancer. Results: A total of 115 facilities (29.3% of the total) responded to the questionnaire. Of these, 33.0 (29.0%) had a palliative care ward. End-of-life care was managed by obstetricians and gynecologists in 72.0% of the facilities. The site where end-of-life care was provided was most often a ward in the department where the respondent worked. The waiting period for transfer to a hospice was 2 weeks or more in 52% of facilities. Before the start of primary treatment, pain control was managed by obstetrians and gynecologists in 98.0% of facilities. Palliative radiation therapy or chemotherapy was administered at 93.9% and 92.0% of facilities, respectively. Of the 115 facilities, 34.0 (29.6%) reported cases of death from gynecological cancer. There were 1,134 cases of death. The median time between the last cycle of chemotherapy and death was 85 days for all gynecological cancers. The proportion of patients receiving chemotherapy in the last 30 and 14 days of life were 17.4% and 7.1%, respectively. Conclusions: This large-scale survey showed characteristics of palliative care given to patients with gynecologic cancer in Japan. Assessment of death cases showed that the median time between the last cycle of chemotherapy and death was relatively short.

Microstructural analysis of the single crystalline AlN and the effect of the annealing on the crystalline quality (단결정 AlN의 미세구조 분석 및 어닐링 공정이 결정성에 미치는 영향)

  • Kim, Jeoung Woon;Bae, Si-Young;Jeong, Seong-Min;Kang, Seung-Min;Kang, Sung;Kim, Cheol-Jin
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.28 no.4
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    • pp.152-158
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    • 2018
  • PVT (Physical Vapor Transport) method has advantages in producing high quality, large scale wafers where many researches are being carried out to commercialize nitride semiconductors. However, complex process variables cause various defects when it had non-equilibrium growth conditions. Annealing process after crystal growth has been widely used to enhance the crystallinity. It is important to set appropriate temperature, pressure, and annealing time to improve crystallinity effectively. In this study, the effect of the annealing conditions on the crystalline structure variation of the AlN single crystal grown by PVT method was investigated with synchrotron whitebeam X-ray topography, electron backscattered diffraction (EBSD), and Rietveld refinement. X-ray topography analysis showed secondary phases, sub-grains, impurities including carbon inclusion in the single crystal before annealing. EBSD analyses identified that sub-grains with slightly tilted basal plane appeared and the overall number of grains increased after the annealing process. Rietveld refinement showed that the stress caused by the temperature gradient during the annealing process between top and bottom in the hot zone not only causes distortion of grains but also changes the lattice constant.

Development of healthy Han-sik nutrition education program featuring consumption of Korean foods for prevention of metabolic syndrome in Korean adults (한국 성인의 대사증후군 예방을 위한 건강한식 교육프로그램 개발)

  • Kang, Minji;Paik, Hee Young;Wie, Gyung-Ah;Joung, Hyojee
    • Journal of Nutrition and Health
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    • v.45 no.6
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    • pp.552-561
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    • 2012
  • Metabolic syndrome is a cluster of metabolic risk factors associated with increased risk of cardiovascular diseases. Recently, the prevalence of metabolic syndrome has increased in Korea. The aim of this study was to develop a Healthy Han-sik Nutrition Education Program (HHNEP) based on commonly recognized Korean foods in order to decrease metabolic syndrome risks. The target population of the HHNEP is adults with metabolic risk factors. The initial version of the HHNEP was developed based on a review of literature and various dietary guidelines by expert committees as well as the results of a survey on the perception of common Korean dishes and foods as Han-sik. The focus group discussion conducted of nine participants from the target population. After minor modification, the final version was developed. The contents included five sections: 1) aims, 2) introduction of Korean Food Guidance System, 3) cholesterol contents in food, 4) menu planning method using Han-sik, and 5) examples of daily Han-sik menu. The Han-sik list was selected based on the results from a Han-sik perception answered by 35 Korean adults aged 30-60 years using 517 frequently consumed Korean foods from the fourth Korea National Health and Nutrition Examination Survey. The nutrition education program was developed based on scientific evidence for the prevention of metabolic syndrome and focuses on tailoring education to an individual's dietary problems. Educational method was developed by a group of expert committees based in planned behavior theory and related research results. The education method consisted of assessment of current diet, four face-to-face nutrition education sessions over 8 weeks, and evaluation after 8 and 16 weeks. Initial version of nutrition education materials and methods was tested for feasibility by a select group of nine Korean healthy adults. Successful implementation of the program would include application by nutritional professionals at the health promotion center of the hospitals, public health center, and work sites. Intervention studies are needed to evaluate the feasibility and effectiveness of this program before large-scale applications.

A Study on the Constructing Discrete Fracture Network in Fractured-Porous Medium with Rectangular Grid (사각 격자를 이용한 단열-다공암반내 분리 단열망 구축기법에 대한 연구)

  • Han, Ji-Woong;Hwang, Yong-Soo;Kang, Chul-Hyung
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.4 no.1
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    • pp.9-15
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    • 2006
  • For the accurate safety assessment of potential radioactive waste disposal site which is located in the crystalline rock it is important to simulate the mass transportation through engineered and natural barrier system precisely, characterized by porous and fractured media respectively. In this work the methods to construct discrete fracture network for the analysis of flow and mass transport through fractured-porous medium are described. The probability density function is adopted in generating fracture properties for the realistic representation of real fractured rock. In order to investigate the intersection between a porous and a fractured medium described by a 2 dimensional rectangular and a cuboid grid respectively, an additional imaginary fracture is adopted at the face of a porous medium intersected by a fracture. In order to construct large scale flow paths an effective method to find interconnected fractures and algorithms of swift detecting connectivities between fractures or porous medium and fractures are proposed. These methods are expected to contribute to the development of numerical program for the simulation of radioactive nuclide transport through fractured-porous medium from radioactive waste disposal site.

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Attributable Causes of Liver Cancer Mortality and Incidence in China

  • Fan, Jin-Hu;Wang, Jian-Bing;Jiang, Yong;Xiang, Wang;Liang, Hao;Wei, Wen-Qiang;Qiao, You-Lin;Boffetta, Paolo
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7251-7256
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    • 2013
  • Objectives: To estimate the proportion of liver cancer cases and deaths due to infection with hepatitis B virus (HBV), hepatitis C virus (HCV), aflatoxin exposure, alcohol drinking and smoking in China in 2005. Study design: Systemic assessment of the burden of five modifiable risk factors on the occurrence of liver cancer in China using the population attributable fraction. Methods: We estimated the population attributable fraction of liver cancer caused by five modifiable risk factors using the prevalence data around 1990 and data on relative risks from meta-analyses, and large-scale observational studies. Liver cancer mortality data were from the 3rd National Death Causes Survey, and data on liver cancer incidence were estimated from the mortality data from cancer registries in China and a mortality/incidence ratio calculated. Results: We estimated that HBV infection was responsible for 65.9% of liver cancer deaths in men and 58.4% in women, while HCV was responsible for 27.3% and 28.6% respectively. The fraction of liver cancer deaths attributable to aflatoxin was estimated to be 25.0% for both men and women. Alcohol drinking was responsible for 23.4% of liver cancer deaths in men and 2.2% in women. Smoking was responsible for 18.7% and 1.0%. Overall, 86% of liver cancer mortality and incidence (88% in men and 78% in women) was attributable to these five modifiable risk factors. Conclusions: HBV, HCV, aflatoxin, alcohol drinking and tobacco smoking were responsible for 86% of liver cancer mortality and incidence in China in 2005. Our findings provide useful data for developing guidelines for liver cancer prevention and control in China and other developing countries.

Comprehensive Assessment of Associations between ERCC2 Lys751Gln/Asp312Asn Polymorphisms and Risk of Non-Hodgkin Lymphoma

  • Zhou, Jue-Yu;He, Li-Wen;Liu, Jie;Yu, Hai-Lang;Wei, Min;Ma, Wen-Li;Shi, Rong
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.21
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    • pp.9347-9353
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    • 2014
  • Background: Excision repair crossing-complementing group 2 (ERCC2), also called xeroderma pigmentosum complementary group D (XPD), plays a crucial role in the nucleotide excision repair (NER) pathway. Previous epidemiological studies have reported associations between ERCC2 polymorphisms and non-Hodgkin lymphoma (NHL) risk, but the results have remained controversial. Materials and Methods: We conducted this meta-analysis based on eligible case-control studies to investigate the role of two ERCC2 polymorphisms (Lys751Gln and Asp312Asn) in determining susceptibility to NHL. Ten case-control studies from several electronic databases were included in our study up to August 14, 2014. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using fixed- or random-effects models to estimate the association strength. Results: The combined results based on all studies did not show any association between Lys751Gln/Asp312Asn polymorphisms and NHL risk for all genetic models. Stratified analyses by histological subtype and ethnicity did not indicate any significant association between Lys751Gln polymorphism and NHL risk. However, a significant reduced risk of NHL was found among population-based studies (Lys/Gln versus Lys/Lys: OR=0.87, 95% CI=0.77-0.99, P=0.037) but not hospital-based studies. As for Asp312Asn polymorphism, there was no evidence for the association between this polymorphism and the risk of NHL in all subgroup analyses. Conclusions: This meta-analysis suggests that there may be no association between Lys751Gln/Asp312Asn polymorphism and the risk of NHL and its two subtypes, whereas ERCC2 Lys751Gln heterozygote genotype may provide protective effects against the risk of NHL in population-based studies. Therefore, large-scale and well-designed studies are needed to clarify the effects of haplotypes, gene-gene, and gene-environment interactions on these polymorphisms and the risk of NHL and its different histological subtypes in an ethnicity specific population.

Health Status of Elderly Persons in Korea (한국노인의 건강상태에 대한 조사연구)

  • 최영희;김문실;변영순;원종순
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.307-323
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    • 1990
  • This Study was done to design and test an instrument to measure the health status of the elderly including physical, psychologyical and social dimensions. Data collection was done from July 18 to August 17, 1990. Subjects were 412 older persons in Korea. A convenience sample was used but the place of residence was stratified into large, medium and small city and rural areas. Participants located in Sudaemun-Gu, Mapo-Gu, and Kangnam-Gu, Seoul were interviewed by brained nursing students, and those in Chungju, Jonju, Chuncheon, and Jinju by professors of nursing colleges. Rural residents were interviewed by community health practioners working in Kungsang-Buk-Do, Kyngsang- Nam - Bo, Jonla Buk -Do, and Kyung Ki- Do. The tool developed for this study was a structured questionnaire based on previous literature and then tested for reliability and validity. This tool contained 20 physical health status items, 17 mental-emotional health status items and 38 social health status items. Physical health status items clustered in to six factors such as personal hygiene, activity, home management, digestive, sexual, sensory, and climination functions. Mental-emotional health status items clustered into two factors, mental health and emotional health. Social health status items clustered into seven factors, grandparent, parent, spouse, friend, kinships, group member and religious role functions. Data analysis included percentage, average, S.D., t-test and ANOVA. The results of the analysis were as follows : 1. The tool measuring the health status of the elderly and developed for this research had a relatively high reliavility indicated by a cronbach=0.97793. 2. Average score of the subjects physical health status was 4, 054 in a 5 point likert scale, mentalemotional health status was 3.803, social health status was 2.939 and the total average was 3.521. The social status of the subjects was the lowest and the next was mental-emotional health status ; physical health status was the highest. 3. Educational background, perceived health status, the amount of pocket money were related to physical and mental-emotional health status and family structure was related mental-emotional physical and social health status. Occupation was related to physical and mental-emotional status. Area of residence was related to metal-emotional and social status. Source of living in the expeneses was related to physical and mental-emotional health status marital status to mental-emotional and social health status, and the number living in the home physical health status and religion to social health status. The following conciusions were derived from the above results ; 1. The health status of Korean elderly was relatively sound but social health status was the most vulnerable. The Social activity for Korean elderly is needed to improve social health. 2. Educational background, perceived health status and the amount of pocket money must be considered in the health assessment criteria of the elderly, Family structure, marial status, occupation, residence variables and sources of living expense must also be considered as significant. 3. A health education program based on the educational background of the elderly, and provision of an occupational socioeconomic welfare policy will be useful in order to increase social health status of Korean elderly.

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A Study on the Selection of Borrow Pits by Using VE Techniques (VE 기법을 이용한 토취장 선정에 관한 연구)

  • Kim, Seung-Ki;Lee, Byung-Suk;Yang, Jae-Hyouk;Lee, Jong-Cheon;Kim, Chan-kee
    • Journal of the Korean Geosynthetics Society
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    • v.15 no.1
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    • pp.59-70
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    • 2016
  • The purpose of this study is to review that the VE techniques can be used as a selection tool of borrow pit locations. The analysis of the soil investigation report is performed for the selection of proposed borrow pit site on a large-scale residential development area. Possible earthwork volume of mining is estimated and the weighting matrix evaluation is applied to the VE techniques. After determining the evaluation items for VE assessment, important degree was calculated. The Rating and evaluation of performance is carried out on a proposed borrow pit site. And, development priority has to be decided for a proposed borrow pit sites. As a result, the relative construction cost is closely related to the haulage distance. As the haulage distance increases, the relative construction cost will be increased. Therefore, it was confirmed quantitatively that haulage distance has a significant impact on the select of borrow pits. Also, it was found that the condition of borrow pits itself is important, but it cannot be ignored the impact of the life cycle cost for the selection of optimal borrow pit sites.